SMART Health IT
SMART Health IT is the open standards and open source project run by the Computational Health Informatics Program at Boston Children's Hospital and Harvard Medical School that defines SMART on FHIR - the OAuth 2.0-based SMART App Launch framework that lets patient-facing and clinician-facing apps plug into any EHR and read clinical records over FHIR. The project publishes the HL7 SMART App Launch and FHIR Bulk Data specifications, the SMART Health Cards and SMART Health Links verifiable clinical data frameworks, open source client libraries, and free public sandboxes - an open FHIR R4 server loaded with synthetic patient records, the SMART App Launcher for simulating EHR and patient portal launches, and a reference Bulk Data server for testing system-level export.
Limited machine-readable signal and partial portal coverage — documentation a human can read, but little a machine or agent can consume without scraping.
API Evangelist profiles SMART Health IT the way a machine reads it — 14 machine-readable artifacts across 6 APIs, pulled from the provider's own public surface and indexed so a developer, an analyst, or an AI agent can evaluate it against every other provider on the network.
Every provider in the network is reduced to the same set of machine-readable artifacts — OpenAPI contracts, event specifications, GraphQL schemas, runnable collections, pricing and rate-limit signals, security posture, OAuth scopes, and the agent surfaces (MCP servers and skills) that let software drive the API on its own. We profile them because the interface is the part of a company you can actually inspect: it is a truer signal of what a provider does than any marketing page. From those artifacts we compute the Kin Score — SMART Health IT scores 38.4/100 (thin), with a separate agent-readiness read of 48/100 (agent ready). The full breakdown is below, followed by every artifact we hold — each card links through to its machine-readable definition on apis.io.
Kin Score
This is the API Evangelist rating — a single, repeatable read computed from the artifacts on this page. Green fill is points earned; the red track is points possible, so every bar shows earned-versus-possible at a glance.
Kin Score
How this is scored →scored 2026-07-27 · rubric v0.5
How we profile SMART Health IT
Each block below is one kind of artifact we hold for SMART Health IT. For each we say what it is and why it earns a place in the profile, then list every one we've indexed — capped at two rows, scroll within the panel for the rest.
APIs 6
Each API is captured as its own OpenAPI definition — every operation, parameter, and response. This is the single most useful machine-readable description of what an API does, and it's what lets us score, lint, mock, and generate against it without asking the provider for anything.
Individual APIs this provider publishes, each with its own machine-readable definition.
SMART Health Cards Framework
Specification for issuing and verifying tamper-evident clinical records - vaccination history, lab results, and insurance cards - as signed JWS payloads carried in QR codes or f...
SMART Health IT Bulk Data API
FHIR Bulk Data $export operations on the reference Bulk Data server.
SMART Health IT Clinical Records API
Observations, conditions, medications, encounters, allergies, and immunizations.
SMART Health IT Conformance API
Server capability discovery.
SMART Health IT Patients API
Synthetic patient demographic records.
SMART Health IT SMART App Launch API
OAuth 2.0 authorization endpoints on the SMART App Launcher.
Open Collections 1
Open, tool-agnostic collections carry the same runnable value as Postman without locking you to one client — the portable, forkable form of the same exercise.
Open, tool-agnostic API collections (OpenAPI-derived and Bruno).
SMART Health IT Sandbox FHIR APIs
OPEN COLLECTIONPricing Plans 1
Pricing is part of the interface. Machine-readable plans tell you what a tier costs and includes before you commit — one of the six things the Kin Score reads for commercial clarity.
Published pricing tiers and plan structures.
Rate Limits 1
Rate limits are the difference between a demo that works and a production integration that doesn't fall over. Publishing them is an operational-transparency signal — and a hard requirement for any agent that plans its own throughput.
Documented rate limits and quota policies.
Smarthealthit Rate Limits
RATE LIMITSFinOps 1
Cost, billing, and metering signals let a buyer model the financial operations of an API before it's live. We profile them for the same reason we profile pricing: the money is part of the contract.
Cost, billing, and metering signals for API financial operations.
Smarthealthit Finops
FINOPSSecurity Posture 3
Authentication, domain security, vulnerability disclosure, and trust-center signals — the evidence that a provider takes security seriously enough to document it. We profile it because you can't govern what you can't see.
Authentication, domain security, vulnerability disclosure, and trust-center signals.
Agentic Access 1
An x-agentic-access contract marks which operations are safe for an agent to run on its own and which need a human in the loop. It is the difference between an API an agent can use and one it can use safely.
Recommended x-agentic-access execution contracts for AI agents.
Resources
Every other property we hold for SMART Health IT — documentation, portals, status pages, policies, and corporate surface — grouped by the job it does, following the integrator's arc from getting started to running in production.
Documentation 2
Reference material describing how the API behaves
Agent Surfaces 1
MCP servers, agent skills, and machine-readable catalogs
Build 1
SDKs, sample code, and the tooling you integrate with
Access & Security 3
Authentication, authorization, and security posture
Operate 1
Status, limits, changes, and where to get help
Commercial 2
Pricing, plans, and the legal terms of use
Company 1
The organization behind the API
← All providers · Data indexed from github.com/api-evangelist/smarthealthit · machine-readable index on apis.io